Release/Transfer of Medical Records

We require an administrative fee for the duplication, transfer and release of a patient’s medical chart. This fee covers the cost of duplication and any applicable postage to forward those medical records. Prior authorization from the patient is required before any copies are released. Please visit the forms section for medical records release forms.

Records Release

Medical Record releases will be completed within fifteen (14) business days. As a courtesy, records will be released to any physician upon your written request and authorization. There is a charge for personal records release requests. The usual fee is $25.00 for the first twenty pages, $0.50 each additional page. If an affidavit is requested, a reasonable fee of $15.00 will be charged for execution.

Medical and Legal Forms Completion

Our office charges $25 for the completion of forms. These charges are the patient’s responsibility.

Attorney Referrals/Letter of Protection Policy

We do  NOT accept Attorney Referrals for patients in litigation because of accidents and injuries.